1336542836 NPI number — MR. JOHN SUK-HYUN HONG ACUPUNCTURIST

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336542836 NPI number — MR. JOHN SUK-HYUN HONG ACUPUNCTURIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HONG
Provider First Name:
JOHN
Provider Middle Name:
SUK-HYUN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
ACUPUNCTURIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HONG
Provider Other First Name:
SUK
Provider Other Middle Name:
HYUN
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ACUPUNCTURIST
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1336542836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
260 S SUNNYVALE AVE
Provider Second Line Business Mailing Address:
SUITE NUMBER 8
Provider Business Mailing Address City Name:
SUNNYVALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94086-6287
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-205-7353
Provider Business Mailing Address Fax Number:
510-444-1477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
260 S SUNNYVALE AVE
Provider Second Line Business Practice Location Address:
SUITE NUMBER 8
Provider Business Practice Location Address City Name:
SUNNYVALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94086-6287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-205-7353
Provider Business Practice Location Address Fax Number:
510-444-1477
Provider Enumeration Date:
09/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC006809 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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